1. Home
  2. Directory
  3. New Jersey
  4. Hackensack
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. IVAN KHARCHENKO MD
NPI 1053009613
Internal Medicine in Hackensack, NJ

Active since May 01, 2023PECOS Enrolled
20 PROSPECT AVE STE 201, HACKENSACK, NJ 07601(551) 996-4849(551) 996-5703 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2026, May 1, 2023 (2 updates tracked since 2023).

About Dr. Ivan Kharchenko Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IVAN KHARCHENKO MD (NPI 1053009613) is an individual internal medicine provider in Hackensack, New Jersey, licensed in New Jersey (25MA13127000) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hackensack.

NPPES Registry Identity

NPI1053009613
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. IVAN KHARCHENKOCredential: MD
Location Address20 PROSPECT AVE STE 201Hackensack, NJ 07601-1999
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877 · Fax (201) 751-1680
Phone(551) 996-4849
Fax(551) 996-5703
Sole ProprietorNo
Enumeration DateMay 1, 2023
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1053009613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA13127000
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 25MA13127000 (NJ)
20 PROSPECT AVE STE 201, Hackensack, NJ 07601
Open in Google Maps ↗

Secondary Practice Location 1

Location 130 Prospect AveHackensack, NJ 07601-1915 · Phone (551) 996-2000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ivan Kharchenko Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRAILYN JOSUE NUNEZ GUZMAN MD
Internal Medicine
20 PROSPECT AVE STE 201
HACKENSACK, NJ 07601
Bergen County (201) 916-3893
ELLIOT LEVINE MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
20 PROSPECT AVE STE 201
HACKENSACK, NJ 07601
Bergen County (551) 996-4849
REBECA RAQUEL IZTUETA APN
Nurse Practitioner (Acute Care)
20 PROSPECT AVE STE 201
HACKENSACK, NJ 07601
Bergen County (551) 996-4849
DR. RAUL JESUS FLORES MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
20 PROSPECT AVE STE 201
HACKENSACK, NJ 07601
Bergen County (551) 996-4849
MRS. TINA GRACE VACANTE MSN, FNP-BC, RN-BC
Nurse Practitioner (Family)
20 PROSPECT AVE STE 201
HACKENSACK, NJ 07601
Bergen County (551) 996-4849
DR. DAVID JOSEPH SILBER DO
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
20 PROSPECT AVE STE 201
HACKENSACK, NJ 07601
Bergen County (551) 996-4849
DR. YONG SOO LEE MD
Internal Medicine
20 PROSPECT AVE STE 201
HACKENSACK, NJ 07601
Bergen County (551) 996-4849

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Kharchenko's NPI number?

The NPI number for Ivan Kharchenko is 1053009613. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Ivan Kharchenko located?

Ivan Kharchenko practices at 20 Prospect Ave Ste 201, Hackensack, NJ 07601. The listed phone number is (551) 996-4849.

What is Ivan Kharchenko's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ivan Kharchenko enrolled in Medicare?

Yes. Ivan Kharchenko is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ivan Kharchenko was last updated on July 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.